Hi, Pearl Shifer, IBCLC, LLL here- I forgot to give my "real" name at my last posting, my AOL "handle" is "Phonatic" so forgive me if I went incognito earlier... One of the WIC moms who has breastfed in the past and was looking forward to breastfeeding this time has found out that her PPD was positive. She hasn't had a chest X ray (can a mom be X-rayed in the third trimester to rule out active TB?) but has a cousin who has active TB and feels this may be the source of her problem. She's from Nicaraugua - is it possible that she received vaccine there as a child and could that be the source of her positive PPD? She is asymptomatic. Her midwife has told her that she won't be able to breastfeed. Could she pump and dump (once the baby is born) until she is checked for active disease? Also, how does a mom dispose of milk that is being pumped and dumped? (ditto moms with other reasons for doing this-e.g., the mom who had "radioactive" milk after treatment for thyroid cancer...what is a safe way for disposing of "tainted" milk?) Thanks for any input. Pearl Shifer [log in to unmask]